KELLY JAVIN DON MATHER

NAMPA, ID
NPI1952668683
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: ID  6836)
Enumeration Date2012-04-19
Last Update Date2023-06-12
Business Address
KELLY JAVIN DON MATHER LCPC
104 9TH AVE S STE B3
NAMPA, ID 83651-3852
Phone number: 208-495-5806
Mailing Address
KELLY JAVIN DON MATHER LCPC
104 9TH AVE S STE B3
NAMPA, ID 83651-3852
Phone number: 208-495-5806
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